<div id="content">
	
	<div class="post">
		<h2 class="title"><a href="#">new user?</a></h2>
		<!--<p class="meta">
			<span class="date"></span>
			<span class="posted"></span>
		</p> -->
 		<div style="clear: both;">&nbsp;</div>
		<div class="entry">
			<p>fill out this form to request access to the virtual museum:
			
				<p>
			<?php 
			
				echo form_open('welcome/registration_request');
				
				$input_username = array(
	              'name'        => 'user_name',
	              'id'          => 'login-text',
	              'maxlength'   => '100',
	              'size'        => '50',
				  'onClick'     => 'this.value=\'\'',
	            );
				
				$input_address = array(
	              'name'        => 'user_address',
	              'id'          => 'login-text',
	              'maxlength'   => '100',
	              'size'        => '50',
				  'onClick'     => 'this.value=\'\'',
	            );
				
				$input_phone = array(
	              'name'        => 'user_phone',
	              'id'          => 'login-text',
	              'maxlength'   => '100',
	              'size'        => '50',
				  'onClick'     => 'this.value=\'\'',
	            );
				
				$input_email = array(
	              'name'        => 'user_email',
	              'id'          => 'login-text',
	              'maxlength'   => '100',
	              'size'        => '50',
				  'onClick'     => 'this.value=\'\'',
	            );
				
				$input_info = array(
	              'name'        => 'user_info',
	              'id'          => 'login-textarea',
	              'rows'   => '5',
	              'cols'        => '30'
	            );
				
				$input_inst = array(
	              'name'        => 'user_inst',
	              'id'          => 'login-text',
	              'maxlength'   => '100',
	              'size'        => '50',
				  'onClick'     => 'this.value=\'\'',
	            );
				
				$input_dept = array(
	              'name'        => 'user_dept',
	              'id'          => 'login-text',
	              'maxlength'   => '100',
	              'size'        => '50',
				  'onClick'     => 'this.value=\'\'',
	            );
				
	            
	            echo "<span class=\"field-error\">" . $message . "<br/></span>";
	            
	            echo "<span class=\"field-descriptor\">Name: <br/></span>".form_input($input_username);
				
	          //  echo "<br/><span class=\"field-descriptor\">Address: <br/></span>".form_input($input_address);
	            
	            echo "<br/><span class=\"field-descriptor\">Phone: <br/></span>".form_input($input_phone);
	            
	            echo "<br/><span class=\"field-descriptor\">Email: <br/></span>".form_input($input_email);
	            
	            echo "<br/><span class=\"field-descriptor\">Institution: <br/></span>".form_input($input_inst);
	            
	            echo "<br/><span class=\"field-descriptor\">Department: <br/></span>".form_input($input_dept);
	            
	            echo "<br/><span class=\"field-descriptor\">Additional Information: <br/></span>"
	            	.form_textarea($input_info);
	            
	            require_once('recaptchalib.php');
			    $publickey = "6LcHGsgSAAAAAEFtnwdRwdWfVyvk-sP7qziAbxQZ"; // you got this from the signup page
			    echo recaptcha_get_html($publickey);
  
	            echo "<br/><br/>";
	            
				echo form_submit('submit','Request Access');
				
				echo form_close();
				
			?>
			
				
			</p>
		</div>
	</div>
	<div style="clear: both;">&nbsp;</div>
</div>
<!-- end #content -->